Provider Demographics
NPI:1811309164
Name:AURORA G. BURLUC D.D.S, PC
Entity type:Organization
Organization Name:AURORA G. BURLUC D.D.S, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:AURORA
Authorized Official - Middle Name:G
Authorized Official - Last Name:BURLUC
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-771-1009
Mailing Address - Street 1:3773 CHERRY CREEK DR. NORTH
Mailing Address - Street 2:#120
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209
Mailing Address - Country:US
Mailing Address - Phone:303-355-8670
Mailing Address - Fax:303-355-5819
Practice Address - Street 1:3773 CHERRY CREEK DR. NORTH
Practice Address - Street 2:#120
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209
Practice Address - Country:US
Practice Address - Phone:303-355-8670
Practice Address - Fax:303-355-5819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-21
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9861122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty